I love genuine questions and people putting in the effort to love and understand each other better. If you come at me just wanting to argue I’m going to troll you back. FAFO.

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Joined 2 years ago
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Cake day: June 12th, 2023

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  • Searching for friends online isn’t going to fix the fact that you’re a nihilistic sad-sack whose interactions with people are always fundamentally unpleasant. Nobody wants to hang around someone who only says sad shit and no-one wants to be asked for advice then have their ideas shit on. That’s why so many depressed people turn into comedians, if you’re gonna say awful shit you at least need to wrap that turd up in some party paper and put a bow on top.

    This isn’t even me telling you not to look online; that’s actually completely fine. It just won’t actually fix the problem because your problem isn’t the format, it’s your attitude. This is blunt as shit but I worry if I state it less than completely explicitly you’ll gloss over it, and I wouldn’t say it at all if I didn’t think it was something you could change about yourself.



  • Every time I hear the words “qualified immunity” I think about this:

    I was first trained in acute psychiatry years ago to never ever in forever restrain people face down. Me and my highschool diploma were sitting in a side room in a state hospital for I shit you not a two. week. crash course in inpatient psychiatry after which they dumped me out on the unit to work with criminally insane men for two years. And in my four hour restraint class they hammered into us to never restrain people face down.

    I remember seeing two men fighting and I just figured I’d grab one and somebody else would grab the other and we’d pull and I remember looking over my guy’s shoulder and seeing the other guy gnawing on his face and then there’s a hole in my memory (likely about 60 seconds; it happens with adrenaline) and the next thing I remember I guess we had all fallen and I was laying on top of the guy I grabbed and I shit you not the very first thought in my head was “oh shit, he’s face down I need to get off him” and I slid to the side and just kept a hand hovering over his shoulders in case he tried to pop up and… idk, bite my face off or something. I didn’t even know who it was until he looked back at me. But they had hammered that one thing into my head that hard that I didn’t know what the fuck this guy was gonna do and the first thought in my head was still to get off him.

    So when I saw all these news stories and all this footage of the cops holding people facedown until they asphyxiate I started asking around. I don’t work with cops in the sense that they’re my coworkers but I do run into them a lot dropping off involuntary holds. So I started asking about how they’re trained to restrain people and if they have any training on how to protect people’s airways. And it turns out they do, actually. Everybody I asked pretty universally told me they’re trained to get the cuffs on then immediately turn them on their side. It’s not super advanced, in fact it’s super basic. Basic in the sense that you could’ve taught it to a highschool graduate in under two weeks.

    So it’s funny you mention not being trained for something because actually yeah they are trained to not do things that kill people and yet-



  • I have a sneaking suspicion that a lot of it is legal, and most of the borderline cases I personally encountered were years ago when I worked for the state. It was less prevalent when I worked for a major university hospital but they had really good HR that were offsite (not buddies with department managers) and well trained in the legal aspects so whatever nonsense they were pulling was always above board. The most egregious ones though, and the ones you’ll read about when they make the news, are the nursing homes, which is work I’ve never had the stomach to do. Now I’m working in a small inner-city hospital, so most of their staff abuse is just against local poor people who aren’t going to find anywhere that pays more.


  • It’s similar in nursing. They keep bringing over nurses from the Philippines, Nigeria, Ghana, and Jamaica (to keep the list short) and they’re great coworkers but a lot of their contracts would actually count as human trafficking on the same questionnaires our ERs use to screen patients. They’re working in conditions that were misrepresented or straight up lied about with monetary and legal penalties for breaking the contract such as tens of thousands of dollars or loss of their green card.

    The employers are doing this to get employees who will be too afraid to report unsafe working conditions for both them and their patients. In psych I see a lot of international nurses who did not realize how utterly violent the average US homeless substance abusing psych patient can get (well except for a few who did high acuity psych back overseas; we had a Nigerian coming from forensics who knew what was up). A lot of them come from other specialties like onc or renal and wind up in psych because it’s an easy in and wind up waaay out of their depth with no easy way out.

    The fact that this abuse exists to depress my wages at the expense of everyone involved (them, me, AND the patients) is just… Idk. I almost want out but it’s what I’m most skilled at and I can’t imagine doing any other kind of work but the conditions and pay have just steadily worsened the longer I work.












  • I’ve long said that police should be licensed to enforce the law the same way as doctors and nurses have to be licensed to provide medical care. They should have to go to school for 2+ years (usually +, 2 for rural / hard to staff areas), sit for board exams, and have to defend their license to that board if they’re caught getting up to no good (including improper record keeping). They should be encouraged to pay for malpractice insurance to hire a lawyer to defend that license in case of frivolous / wrongful challenges to their license, but if those reports keep happening (like if they’re toeing the line too closely), that insurance will get progressively too expensive to keep them afloat and push them out of practice. Sometimes even medical professionals forget that the boards aren’t there to serve us, they’re to protect the public from us, and I feel like the police could really benefit from a similar licensing body.


  • When I do smoking cessation education and I talk about how nicotine paralyzes your cillia (little hair / whip things that keep your respiratory tract clean) so when you quit they wake up to all this cigarette gunk, I like to describe it thus: imagine somebody came into your work and roofied you then smeared shit all over the floor walls and ceiling. You’d wake up like WHAT THE FUCK. Anyway that’s why you’re hacking up tar-mucous balls right after you quit; your cillia are PISSED. More medical education needs more memorable descriptions to increase retention.



  • I had to ban someone because they were arguing about whether tumblr prose about physics and love was scientifically rigorous and after arguing for a chain of like 20 comments they reported the other person and started calling me names when I told them the entire argument was dumb. They then took it to the instances’ main / meta forum to publically complain about and got pretty universally torn apart by both the instance moderators and several fascinated rubberneckers. They picked a molehill and just absolutely fought to the death on it for some inscrutable reason.

    I’ve mentioned it a couple times in various meta comments on the topic of moderation less because it particularly bothers me but mostly just because it is sort of living rent free in my head in the same way as when you see someone eating an entire lobster dinner complete with metal cutlery and a cloth napkin at the bus stop. Just… huh. That person is well and truly marching to the beat of their own drum and it certainly seems to be bringing them joy but… huh.

    The expression on that dude’s face was very reminiscent of my face when trying to read through the original offending comment chain.


  • Right like I (rightly or wrongly) associate the word “manifesto” with illogical rambling (maybe that’s just being a psych nurse, I’ve received a lot of gibberish manifestos at 2am) but every word of this makes perfect sense and are things I’ve been saying for years. Because over half my patients aren’t even manic or psychotic or have any other significantly mind altering disorder, they’ve just been pushed past every coping mechanism they had by this profoundly sick society we live in. One of the most powerful ways I help people in these crises is just by validating that and pointing them in the right direction. I’ve talked people out of literally physically punching me just by reminding them who we’re all really being oppressed by and trying to give them the emotional tools they need to put that anger back where it belongs.

    He’s not any crazier than a construction worker out of work and living in poverty after losing their feet to diabetes because they’ve been living off fast food delivered to the jobsites they’ve spent most of their waking hours on for decades. He’s not any crazier than a veteran who’s been doing heroin for years to cope with their untreated service injuries and the realization that to get themselves out of poverty they were sent to Afghanistan to kill other poor people to make an oil baron more money. He’s not any crazier than a homeless mother of two living out of her car who can’t afford her kid’s inhaler.

    Those types of situations are meant to induce anxiety and anger in people! We evolved (or even were designed by God if that’s how you view the world) to feel those emotions in the first place as a way to stimulate us to fight for our safety and protect ourselves. And what’s finally motivating people IS that realization that it doesn’t matter in the end if you’re black or white, religious or atheist, gay or straight, or ANY of that. My one hope out of all of this is that the illusion of the culture war is finally falling away. I’ve caught “normie” coworkers saying “the only war is the class war.” Conservatives and capitalist liberals; people I never would have guessed would see it. This can be the beginning if we let it be.